Post on 11-Jun-2020
Improving CPR performance in the Emergency Department through Feedback and Data
McKenzie Williams MSN, RN, CEN
EvergreenHealth Emergency Department54,000 Annual ED Visits 27 ED Physicians 100+ Nursing/ED Staff Level III Trauma Center
NE King and South Snohomish County Residents Relationship Redmond Medic One
Identified Problem – Consistent CPR?
How was the quality of CPR in Emergency Department?
What was our compression rate?
What was our hands-on compression ratio?
Get With the Guidelines RegistryData collected from hospitals across the U.S.Advantages▫ Robust registry▫ Benchmarking ▫ Decision support
Data focused on▫ CPR quality▫ Defibrillation events▫ Post arrest care▫ Antecedents to the arrest
Get With the Guidelines Registery
AHA CONSENSUS RECOMMENDATION
2013 Consensus Statement Recommendation“…resuscitation data from the defibrillator or any other device or source documentation that captures data at the scene should be used for feedback to the team.”
Circulation, 2013
Developing a Culture of High Quality CPR
Circulation, 2010
We Started To Look At the Data…..
Intra-Arrest Review
Intra-Arrest Review
Any Issues Here?
The Process of Analysis & FeedbackCodeSTAT training for ED Annotator
All CPR cases reviewed at EHMC Code Blue Committee (ED, RT, nursing and Cardiac Team)
All CPR cases reviewed at ED Quality Committee
CPR report given to treating ED MD
CPR report displayed in staff lounge for staff to review
Real-Time Advantage
After Giving Feedback• What about the rate?• Compression Fraction?
After Giving Feedback
After Giving Feedback
TrueCPR
Questions